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Supporting Your Journey

Our Medical Directors are outstanding physicians that you will find to be very personable and compassionate, who take care to ensure that you have the most cutting-edge fertility treatments at your disposal. This is your outlet to ask your questions to the doctors.

Dear Patients,

I created this forum to welcome any questions you have on the topic of infertility, IVF, conception, testing, evaluation, or any related topics. I do my best to answer all questions in less than 24 hours. I know your question is important and, in many cases, I will answer within just a few hours. Thank you for taking the time to trust me with your concern.

– Geoffrey Sher, MD

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Page 8 of 68

Embryos & Genetic Testing Feb 11, 2025

Article; IVF: FACTORS AFFECTING EGG/EMBRYO “COMPETENCY” DURING CONTROLLED OVARIAN STIMULATION (COS)

Quick question- sperm and egg cells, don' t they contain 23 chromosomes only as they are germ cells (Haploid cells) , and not 2x 23 as mentioned in this article? — Theivanya U.

Dr. Geoffrey Sher answered

Both sperm and eggs start off with 46 chromosomes. Then during meiosis (reproductive maturational division, the divide their chromosomes in half to 23 (the haploid number). The fusion of the sperm and the egg thereupon reconstitutes the chromosomes in the embryo to 46(the diploid number). Geoff Sher Herewith…
Uterine & Endometrial Health Feb 2, 2025

Toxic Uterine Environment

I have had two failed FET 2nd FET protocol (estradiol, PIO, Aspirin , dexamethasone). I've had Hyseroscopy where polyps and scar tissue were removed. Now I'm being told that due to my endometriosis, now Adenomyosis is suspected but I will… — Tamieka G.

Dr. Geoffrey Sher answered

Respectfully. Nothing you are telling me add up. Read the article below and then call my assistant Patti and set up an online consultation with ne to discuss your case in detail and to set up a strategic approach. IMPLANTATION DYSFUNCTION Implantation dysfunction is often overlooked as a…
Egg Health & Ovarian Reserve Jan 29, 2025

Cyst at baseline for FET

Hi Dr. Sher, a resolving functional hemorrhagic cyst was found during ultrasound for my modified natural (Letrazole assisted) FET. I had delayed ovulation and they performed an ultrasound and found the cyst. On Friday, ultrasound showed cyst was 36 mm,… — Peg T.

Dr. Geoffrey Sher answered

Very respectfully, I would not enter an FET until the cyst is gone and you have had at least one interim natural cycle. I would also strongly recommend a medicated FET. FROZEN EMBRYO TRANSFER : ONE PREFERRED APPROACH AT SFS. Two decades ago, when women went through IVF…
Age & Fertility Jan 24, 2025

Soy mujer de 48 años

Mi pregunta es será cierto k me pueden ayudarme para q mequedo empezada — Tomasa H.

Dr. Drew Tortoriello answered

Please re-post in English! Geoff Sher Herewith are online links to 2 E-books recently co-authored with my partner at SFS-NY (Drew Tortoriello MD)....... for your reading pleasure: From In Vitro Fertilization to Family: A Journey with Sher Fertility Solutions (SFS) ; https://sherfertilitysolutions.com/sher-fertility-solutions-ebook.pdf Recurrent Pregnancy Loss and Unexplained IVF…
Third-Party Reproduction Jan 23, 2025

Surrogacy

We are interested in surrogacy. We have the surrogate, we are using our own eggs and have health insurance. — Cindy P.

Dr. Drew Tortoriello answered

IVF surrogacy is a remarkable process that allows individuals and couples to fulfill their dreams of parenthood, offering a path to hope and happiness. Let’s explore this transformative journey, step by step, emphasizing the positive aspects and the incredible possibilities it holds. The Gift of Surrogacy: IVF surrogacy…
Egg Health & Ovarian Reserve Jan 23, 2025

Fertility at 41

Hello Dr Sher, I am a physician G3P2 who has gone through 6 cycles of IVF for my 3rd child. (My elder two are 11 and 9 who were naturally conceived and delivered NSVD). I have done luteal phase stimulation… — Heena P.

Dr. Geoffrey Sher answered

Thank you for reaching out to me. We should talk. I recommend that you contact my assistant, Patti Converse at concierge@sherivf.com and set up an online consultation with me to discuss. In the meanwhile, please see below. Geoff Sher ADDRESSING ADVANCING AGE AND DIMINISHING OVARIAN RESERVE (DOR) IN…
Clinic & Practice Jan 22, 2025

Consultation for egg freezing

Hello! Are you available for a remote consultation in the next couple weeks? Would love to speak at your earliest availability. Thank you! — Jiji W.

Dr. Geoffrey Sher answered

For more than 50 years, scientists have been working to perfect the art of freezing and storing a woman's eggs, also known as “egg banking”. Although there have been challenges, the progress has been both amazing and is promising. Since the birth of the first "frozen egg baby"…
Clinic & Practice Jan 22, 2025

Consult with Dr. Sher

Recommendation regarding future IVF treatment- 41 y.o Female with DOR; multiple IVF cycles; embryos don't make it to blastocyst (only had 2 blastocysts) so far. — Neha K.

Dr. Geoffrey Sher answered

I agree! This requires an online consultation; I suggest you contact my assistant (Patti) and set this up with me. In the meanwhile, see below. Embarking on the journey of IVF often raises questions about the likelihood of success and the quality of embryos. While it’s challenging to…
Immunology & Implantation Jan 16, 2025

Repeated Implantation Failures and MC

Good morning Dr. Sher, My name is Xuandao ("Dao") Nguyen, I'm 42 yo and currently in round 4 of IVF at my local clinic here in Atlanta (ACRM). I want to give you a brief summary of my case and… — Xuandao N.

Dr. Geoffrey Sher answered

In my opinion, you have a likely implantation dysfunction . It could be anatomical or immunologic. I suggest you contact my assistant, Patti at concierge@sherIVF.com to set up an online consultation with me. Implantation dysfunction is often overlooked as a significant reason for IVF failure. This is especially…
Jan 13, 2025

In vitro

No hablo inglés sólo español — Daysi B.

Dr. Drew Tortoriello answered

Please re-post in English! Geoff Sher
Embryos & Genetic Testing Jan 11, 2025

Eight losses

Hello, my name is Vikki Carpenter. I am 40 years old and started IVF last year. I have one IVF failure (chemical), and 7 other chemical pregnancies before IVF. The pattern is virtually the same: I get pregnant and within… — Vikki C.

Dr. Geoffrey Sher answered

UNDERSTANDING RECURRENT PREGNANCY LOSS ( RPL): CAUSES AND SOLUTIONS. When it comes to reproduction, humans face challenges compared to other mammals. A significant number of fertilized eggs in humans do not result in live births, with up to 75% failing to develop, and around 30% of pregnancies ending…
Third-Party Reproduction Jan 11, 2025

Donación de ovuloss

Quisiera saber si soy apta para la donación de óvulos — Leydi M.

Dr. Geoffrey Sher answered

Please post in English! Geoff Sher Herewith are online links to 2 E-books recently co-authored with my partner at SFS-NY (Drew Tortoriello MD)....... for your reading pleasure: From In Vitro Fertilization to Family: A Journey with Sher Fertility Solutions (SFS) ; https://sherfertilitysolutions.com/sher-fertility-solutions-ebook.pdf Recurrent Pregnancy Loss and Unexplained IVF…
Embryos & Genetic Testing Jan 11, 2025

News Reporter

hi, would love to talk to you about PGT testing for a story. — Amy K.

Dr. Geoffrey Sher answered

Please contact my assistant Patti (concierge@sherIVF.com. Geoff Sher Herewith are online links to 2 E-books recently co-authored with my partner at SFS-NY (Drew Tortoriello MD)....... for your reading pleasure: From In Vitro Fertilization to Family: A Journey with Sher Fertility Solutions (SFS) ; https://sherfertilitysolutions.com/sher-fertility-solutions-ebook.pdf Recurrent Pregnancy Loss and…
Uterine & Endometrial Health Jan 11, 2025

Progesterone Levels

I went through a modified natural cycle that more or less turned into a medicated cycle since estrogen was added for the lining and also used vaginal progesterone and 1ml PIO On transfer day progesterone was >40.4 Estrogen 72 (… — Adriana L.

Dr. Geoffrey Sher answered

No! This has nothing to do with your progesterone level. Geoff Sher Herewith are online links to 2 E-books recently co-authored with my partner at SFS-NY (Drew Tortoriello MD)....... for your reading pleasure: From In Vitro Fertilization to Family: A Journey with Sher Fertility Solutions (SFS) ; https://sherfertilitysolutions.com/sher-fertility-solutions-ebook.pdf…
Ovarian Stimulation & OHSS Jan 11, 2025

Egg Retrieval Process

How many eggs can be retrieved during the egg retrieval/ egg freezing process? How many tend to remain viable (% wise)? How long can the eggs be frozen for and does the egg viability decline after a certain time frame? — Xxxxxx

Dr. Geoffrey Sher answered

This all varies depending on age, ovarian reserve and the cause of an underlying infertility issue. Below find information on egg Banking:. Feel free to call my assistant, Patti and set up an online consultation with me. EGG BANKING: “The bottom line is that because of the traumatic…

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Supporting Your Journey

Our Medical Directors are outstanding physicians that you will find to be very personable and compassionate, who take care to ensure that you have the most cutting-edge fertility treatments at your disposal. This is your outlet to ask your questions to the doctors.

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